{
"Npi": {
"NPI": "1699884262",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LUGO",
"FirstName": "RAFAEL",
"MiddleName": "EDUARDO",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "44 CALLE 1",
"SecondLineMailingAddress": "URB. LA CAMPINA",
"MailingAddressCityName": "SAN JUAN",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00926-9636",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-738-8333",
"MailingAddressFaxNumber": "787-263-7522",
"FirstLinePracticeLocationAddress": "10 CALLE JOSE CELSO BARBOSA N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CAYEY",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00736-3730",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-738-8333",
"PracticeLocationAddressFaxNumber": "787-263-7522",
"EnumerationDate": "08/29/2006",
"LastUpdateDate": "10/09/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "362",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}